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“Competency†is a complex notion that refers to the capacity, in varying circumstances, to use knowledge, skills, and values in actions that serve a purpose (e.g., promoting or regaining health or various intermediate outcomes on the way to health). The lowest-order competency is the ability to take certain actions successfully without much self-awareness, capacity to reflect, or adaptability. The highest-order competency is to interact with others with mindfulness, awareness, and adaptability, that is, to be what Donald Schön has called a “reflective practitioner
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